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Possible Pyloric Stenosis

If you work in a kids ED then you probably see babies who are tagged as “possible PS” when they present with large volume vomiting.  Pyloric stenosis is not a rare disease, yet it is much less common than the alternative diagnoses that present in small babies with vomiting… UTI, gastroenteritis, sepsis, reflux / overfeeding, […]

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Crashing GA Caesarean

In this episode I have enlisted Dr Roger Browning (Obstetric Anaesthetist) to discuss the finer points of giving a safe anaesthetic in the scariest scenario in my practice – the crashing GA Caesarean section. There are many ways to skin a cat and many ways to give a GA for a C-section. Roger takes me […]

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Rural Anaesthesia Journal Club: with Alex and Mel

This is the second installment of the Rural Anaesthesia Down Under (RADU) Journal Club. In this episode, I am joined by Drs Alex Harris and Melanie Little – both local, fellow Broome GP Anaesthetists. We got together and had a chat about 5 papers covering 4 topics: Perioperative anaphylaxis (the NAP6 Audit) Dose adjustment for spinal […]

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First10EM Journal Club: May 2017

We are back with another set of papers to dissect, discuss and digest.  Justin and I have been working on a few big projects and are in full prep for the upcoming DasSMACC meeting in Berlin. We managed to skip April, but we are planning something a little special for June in Berlin. If you […]

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Thoughts on the WOMAN Trial

Postpartum haemorrhage is really quite a broad term. I frequently manage women with retained placental tissue who require manual removal in theatre to halt persistent bleeding. This is routine, mundane Obstetric care. We follow well-trodden protocols. Most of these women do well. We sometimes need to resort to steps 3 or 4 in our algorithm […]